ILA SUKHADIA, MEDICAL, P.C. (NPI# 1942461967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942461967 |
Entity Type | Organization |
Organization Name | ILA SUKHADIA, MEDICAL, P.C. |
Other Organization Name | JITENDRA SUKHADIA, M.D.P.C. DBA PROGRESSIVE PEDIATRICS |
Practice Address |
1235 Arden Ave Staten Island NY 10312-4148 |
Practice Telephone | 7189483400 |
Practice Fax Number | 7189662560 |
Mailing Telephone | 7189483400 |
Mailing Fax Number | 7189662560 |
Enumeration Date | 2008-06-23 |
Last Update Date | 2019-08-06 |
Authorized Official Name | DR. ILA JITENDRA SUKHADIA (PRESIDENT) |
Authorized Official Telephone | 7189483400 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
249019 | NY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Jitendra Sukhadia, M.D.P.C. DBA Progressive Pediatrics | Former Legal Business Name - Organization |
Progressive Pediatrics | Doing Business As Name - Organization |
Street Address |
1235 ARDEN AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10312-4148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801869565 | Ila Sukhadia | Pediatrics | 1235 Arden Ave, Staten Island, NY 10312-4148 | 2006-02-10 |
1063064129 | Valbona Capani | Nurse Practitioner | 1235 Arden Ave, Staten Island, NY 10312-4148 | 2019-07-09 |
1023309382 | Sajani J Raman | Pediatrics | 1235 Arden Ave, Staten Island, NY 10312-4148 | 2011-04-21 |
1285785741 | Veeraswamy Krishnaraj | Pediatrics | 1235 Arden Ave, Staten Island, NY 10312-4148 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
Find all providers in zip 10312 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1538623376 | Explorer Optical Inc | Clinic/Center | 1351 Forest Ave, Staten Island, NY 10302-2049 | 2019-01-25 |
1346601333 | Penrose Dermatology Pllc | Clinic/Center | 1110 South Ave, Suite 400, Staten Island, NY 10314-3403 | 2016-03-17 |
1629495601 | Sunrise Medical Practice PC | Clinic/Center | 1975 Hylan Blvd, Staten Island, NY 10306-3526 | 2014-03-27 |
1780943845 | Elena Sanders, Md, P.C. | Clinic/Center | 400 Seaview Ave, Staten Island, NY 10305-2216 | 2012-05-10 |
1407133440 | Seaview Skin Cancer Surgery, LLC | Clinic/Center | 256 Mason Ave # C, Third Floor, Staten Island, NY 10305-3408 | 2011-11-04 |
1255663001 | Nanette Alexander-thomas Md | Clinic/Center | 682 Forest Ave, Staten Island, NY 10310-2507 | 2010-02-04 |
1396900940 | Elaine Shnitkind Md P.C. | Clinic/Center | 3710 Richmond Ave, Staten Island, NY 10312-3865 | 2008-07-23 |
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1730704347 | Prestocorp | Clinic/Center | 315 W 36th St Fl 6, New York, NY 10018-6532 | 2020-06-09 |
1356977151 | Annie Coburn Kane, Lcsw PC | Clinic/Center | 638 Lake St # 818, Wilson, NY 14172-9600 | 2020-03-12 |
1386283695 | Queens Podiatry Pllc | Clinic/Center | 7001 Grand Ave, Maspeth, NY 11378-1820 | 2020-01-03 |
1184262255 | Health & Wellness Group Inc | Clinic/Center | 211 Broadway Ste 205, Lynbrook, NY 11563-3290 | 2019-12-19 |
1285278606 | Pure Eyecare Optometry P.C. | Clinic/Center | 10537 65th Ave Apt 4d, Forest Hills, NY 11375-1818 | 2019-10-29 |
1720629454 | International Travel Medicine, PC | Clinic/Center | 200 S Service Rd Ste 212, Roslyn Hts, NY 11577-2118 | 2019-10-03 |
1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
1174178396 | Instant Care Np In Family Health | Clinic/Center | 89 Tennyson Dr, Nanuet, NY 10954-1039 | 2019-08-05 |
1811455801 | Five Borough Gastroenterology Medical Pllc | Clinic/Center | 340 W 86th St Apt 1a, New York, NY 10024-3274 | 2019-03-08 |
1598259996 | Ds Medical Diagnostics PC | Clinic/Center | 13249 41st Rd Ste 1c, Flushing, NY 11355-4286 | 2018-06-19 |
Find all providers with the same taxonomy |
City | STATEN ISLAND |
Zip Code | 10312 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.